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This is VAERS ID 44688

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 44688
VAERS Form:
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 320905 / 1 LL / IM
HEP: HEPTAVAX / MSD 0686V / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M695HL / 1 RL / IM
OPV: ORIMUNE / LEDERLE 314934 / 1 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, SCREAMING SYND, CRY ABNORMAL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 12/8/2009

VAERS ID: 44688 Before After
VAERS Form:
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 320905 / 1 LL / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 0686V / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M695HL / 1 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 314934 / 1 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Crying, Pyrexia, Screaming, FEVER, SCREAMING SYND, CRY ABNORMAL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 8/31/2010

VAERS ID: 44688 Before After
VAERS Form:
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 1 LL / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M695HL / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 314934 / 1 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 5/14/2017

VAERS ID: 44688 Before After
VAERS Form:
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 1 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M695HL / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 314934 / 1 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 9/14/2017

VAERS ID: 44688 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 1 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 1 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 1 2 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 2/14/2018

VAERS ID: 44688 Before After
VAERS Form:1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 6/14/2018

VAERS ID: 44688 Before After
VAERS Form:1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 8/14/2018

VAERS ID: 44688 Before After
VAERS Form:1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 9/14/2018

VAERS ID: 44688 Before After
VAERS Form:1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;


Changed on 10/14/2018

VAERS ID: 44688 Before After
VAERS Form:1
Age:0.5
Sex:Male
Location:South Carolina
Vaccinated:1992-08-11
Onset:1992-08-11
Submitted:1992-08-24
Entered:1992-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0686V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 314934 / 2 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Crying, Pyrexia, Screaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SC92104

Write-up: to ER RE: fever 104 & high pitch cry of 3 hrs;

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